Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $107.15 / $269.15	Facility		$43.65	$107.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $91.20	Professional		$19.95	$32.36	$91.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $5,011.87 / $57,543.99	Facility		$123.03	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $53.70	Professional		$30.20	$31.62	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.07 / $257.04	Facility		$30.20	$66.07	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $60.26	Professional		$22.91	$35.48	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $52.48	Professional		$32.36	$41.69	$52.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $63.10	Professional		$20.42	$33.88	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $102.33	Facility		$93.33	$102.33	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $102.33 / $269.15	Facility		$39.81	$102.33	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $77.62	Professional		$25.12	$38.02	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $69.18	Professional		$34.67	$46.77	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $38.90	Facility		$16.60	$19.05	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $38.90	Professional		$15.14	$18.62	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $371.54	Facility		$158.49	$281.84	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $52.48	Professional		$23.44	$30.90	$52.48